Hoyt Nursing & Rehab Centre
1202 Weiss St · Saginaw, MI · 48602 · 9897541419
128 certified beds For profit - Limited Liability company Chain: Nexcare Health Systems
Why this verdict
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.53 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $30,740 |
Inspection citations (32 in the current record)
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Actual harm · G May 22, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 18, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 18, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 18, 2025 · Pharmacy Service
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Potential for harm · D May 22, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 18, 2025 · Pharmacy Service
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Potential for harm · D May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 18, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 18, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 18, 2025 · Environmental
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Actual harm · G April 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D January 15, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 4, 2025 · Pharmacy Service
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Potential for harm · D December 26, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 22, 2025 · Quality of Life and Care
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Potential for harm · D September 9, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · E June 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 10, 2024 · Resident Rights
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Potential for harm · D June 17, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 10, 2024 · Quality of Life and Care
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Potential for harm · D June 17, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 10, 2024 · Quality of Life and Care
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Potential for harm · D June 17, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected July 10, 2024 · Quality of Life and Care
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Potential for harm · D June 17, 2024
Ensure that residents are free from significant medication errors.
Corrected July 10, 2024 · Pharmacy Service
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Potential for harm · D June 17, 2024
Provide and implement an infection prevention and control program.
Corrected July 10, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $30,740 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235056 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.